| Counseling Nw Llc | |
|
1525 Ne Weidler St Suite 201 Portland OR 97232-1410 | |
| (503) 277-9003 | |
| Not Available |
| Full Name | Counseling Nw Llc |
|---|---|
| Speciality | Social Worker |
| Location | 1525 Ne Weidler St, Portland, Oregon |
| Authorized Official Name and Position | Verda Dew (SOCIAL WORKER) |
| Authorized Official Contact | 5032779003 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Counseling Nw Llc 1525 Ne Weidler St Suite 201 Portland OR 97232-1410 Ph: (503) 277-9003 | Counseling Nw Llc 1525 Ne Weidler St Suite 201 Portland OR 97232-1410 Ph: (503) 277-9003 |
| NPI Number | 1184984056 |
|---|---|
| Provider Enumeration Date | 05/24/2012 |
| Last Update Date | 01/04/2016 |
| Medicare PECOS PAC ID | 4082863857 |
|---|---|
| Medicare Enrollment ID | O20121011000499 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184984056 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | L5343 (Oregon) | Primary |
| Provider Name | Verda Dew |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1104011352 PECOS PAC ID: 5991954760 Enrollment ID: I20121011000513 |
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